• Title/Summary/Keyword: Reproductive Management

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A new biomarker for the early diagnosis of ovarian torsion: SCUBE-1

  • Uyanikoglu, Hacer;Hilali, Nese Gul;Yardimciel, Mesut;Koyuncu, Ismail
    • Clinical and Experimental Reproductive Medicine
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    • v.45 no.2
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    • pp.94-99
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    • 2018
  • Objective: Prompt diagnosis and management are essential for saving the adnexal organs from infarction in cases of ovarian torsion (OT). This study aimed to determine the diagnostic significance of signal peptide, complement C1r/C1s, Uegf, and Bmp1 (CUB), and epidermal growth factor-like domain-containing protein-1 (SCUBE-1) levels in cases of OT, an emergent ischemic condition, and the relationship of SCUBE-1 with oxidative stress parameters. Methods: This prospective study was conducted among 15 OT patients and 20 age- and gravidity-matched healthy women. SCUBE-1 serum concentrations were determined by using enzyme-linked immunosorbent assays. In addition, oxidative stress was evaluated by measuring the serum levels of advanced oxidation protein products (AOPP), ferric reducing ability of plasma (FRAP), and glutathione (GSH). Results: The SCUBE-1 titers were significantly higher in the patients with OT than in the controls (p=0.008). In addition, serum FRAP and GSH levels were significantly lower in the OT patients than in the controls (p<0.001 for both). Serum AOPP levels were higher in the OT patients, but this trend was not statistically significant (p>0.05). Furthermore, there were no correlations between SCUBE-1 levels and age, gravidity, parity, cyst size, and AOPP, FRAP, or GSH levels (p>0.05). Conclusion: We believe that SCUBE-1 may be a promising biomarker for the early diagnosis of OT.

Etiologic Classification of Recurrent Spontaneous Abortion (습관성 유산의 원인적 분류)

  • Park, Moon-Il;Lee, Ki-Hun;Chung, Sung-Ro;Lee, Jai-Auk;Moon, Hyung;Kim, Doo-Sang
    • Clinical and Experimental Reproductive Medicine
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    • v.18 no.1
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    • pp.113-120
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    • 1991
  • Etiologic classification was performed in 155 patients with recurrent spontaneous abortion history. The incidence was 9.3% among 1658 pregnant women at Hanyang university hospital during the same period. In etiologic classification, 37 cases of on-going patients for diagnostic evaluation were excluded. Of the remained 118 patients, the patients with unknown etiology were 32 cases (27.1%), and 86 cases were classified into each etiologies using appropriate diagnostic modalities. Anatomic causes were the largest etiology, which revealed 46.6% (55 among 118 patients). The next etiology was immunologic cause, which revealed 24.6% (29 patients). Of the 86 patients who have at least one cause, 40.7% (35 among 86) have two or more etiologies. Furthermore, six cases (7%) have 3 combined etiologies. The uterine synechia and/or incompetent internal os of the cervix, namaly anatomic causes, revealed highest combination ratio than other etilogies. The popular abortion technique in Korea, D&C, seems to be main factors for these anatmic causes. The combined causes rather than single cause of recurrent spontaneous abortion were unique situation in Korea especially with anatomic etiologies. From this point of view, we think anatomic etiologies should be rule out first in the evaluation of the patients. For this purpose, we believe hysteroscopy would be helpful as a diagnostic work-up and treatment modality in the management of recurrent spontaneous abortion patients in Korea.

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Studies on Status and hematological Values of Reproductive Disorders in Dairy Cattle of Jeonnam Area (전남지방(全南地方) 유우(乳牛)에 있어서 번식장해(繁殖障害)의 실태(實態) 및 그 혈액치(血液値)에 관(關)한 조사연구(調査硏究))

  • Park, Young Jun
    • Korean Journal of Veterinary Research
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    • v.14 no.2
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    • pp.253-268
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    • 1974
  • A total of 331 dairy cattle in Jeonnam area were examined for the breeding status and hematological values during the period from June to August. 1971 and 1974. The data obtained were analysed according to the status of breeding and the type of farm management. The results obtained in this work were summarized as follows: 1. 331 dairy cows were grouped as pregnant (63.81%) anestrus after parturition (12.45%), pregnancy unknown (11.48%), repeat breeder (10.32%), and others (1.94%). 2. The summery of reproductive histories and clinical examination were as follows. Average of calving interval was 16.5 months, interval from parturition to first breeding 97 days and postpartum interval to first estrus 72 days. Services per conception was 1.6 rate of postpartum estrus (60 days) 12.0%, and the rate of repent breeder 10.3%. 3. Generally, the blood values of RBC, Hb, serum total protein and A/G ratio were lower than those normal values, especially, the cows which showed abnormal values belonged to the repeat breeder and the unknown to conception group. The mean value for serum inorganic phosphorus was the normal value or hyperphosphatemia, on the other hand, the mean value for serum calcium of the repeat breeder group was the lowest than the other group. 4. Follow-up evaluations on the results of the laboratory tests strongly suggest that the problems of repeat breeder had a tendency to occur more frequently in the large herd (A and B type farm), and the Ca/P ratio of almost all the cows showed abnormal values.

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A Case of Subacute Embolism in Brain Associated with Severe Ovarian Hyperstimulation Syndrome (뇌 혈관의 아급성 색전증을 동반한 중증 난소과자극 증후군 1례)

  • Kim, Seung-Hyun;Kang, Kyoung-Hwa;Yang, Yun-Seok;Hwang, In-Taek;Park, Jun-Suk;Kim, Jeong-Hyun;Kim, Jin-Sub
    • Clinical and Experimental Reproductive Medicine
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    • v.35 no.2
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    • pp.163-167
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    • 2008
  • Ovarian hyperstimuation syndrome (OHSS) is the most serious complication of controlled ovarian stimulation. It causes symptoms such as, ovarian enlargement, ascites, pleural effusion, pericardial effusion, hemoconcentration, electrolyte imbalance, and thromboembolism. Although proper management is done, thromboembolism could occur and is difficult to predict. Moreover it can cause death. Consequently thromboembolism is the most dangerous complication of OHSS. We experienced a OHSS patient with thromboembolism of the brain after having IVF-ET.

Delayed postpartum regression of theca lutein cysts with maternal virilization: A case report

  • Kim, Sanghwa;Lee, Inha;Park, Eunhyang;Rhee, Yeo Jin;Kim, Kyeongmin;Aljassim, Aminah Ibrahim;Park, Joo Hyun;Lee, Jae Hoon;Yun, Bo Hyon;Seo, Seok Kyo;Cho, Sihyun;Choi, Young Sik;Lee, Byung Seok
    • Clinical and Experimental Reproductive Medicine
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    • v.48 no.4
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    • pp.380-384
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    • 2021
  • Theca lutein cysts are rare, benign lesions responsible for gross cystic enlargement of both ovaries during pregnancy. This condition is also termed hyperreactio luteinalis. Elevated human chorionic gonadotropin (hCG) levels or states of hCG hypersensitivity seem to promote these changes, which in up to 30% of patients produce clinical signs of hyperandrogenism. Given the self-limiting course of theca lutein cysts, which are subject to spontaneous postpartum resolution, conservative treatment is the mainstay of patient management. Described herein is a rare case of theca lutein cysts with maternal virilization that failed to regress by 9 months after childbirth. Surgical intervention was eventually undertaken, necessitated by adnexal torsion.

Establishment of Heading-back Pruning Severities of Trunk at Planting in the One-year-old 'Daeneung' Jujube Whip Nursery Tree (1년생 '대능' 대추 회초리 묘목 재식 시 주간 절단 정도 설정)

  • Cho, Lee-Hyuk;Sagong, Dong-Hoon
    • Korean Journal of Environmental Agriculture
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    • v.40 no.2
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    • pp.73-82
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    • 2021
  • BACKGROUND: The successful management of jujube trees depends on maintaining a balance between reproductive and vegetative growth. In general, heading cuts of trunk stimulate rather vegetative growth, but could decrease flower initiation. This study was conducted to establish a heading-back pruning severities at planting in the one year old 'Daeneung' jujube whip nursery tree by investigating vegetative growth and fruit yield. METHODS AND RESULTS: The heading back pruning severity was assigned as 5 different ranges as follow: one bud (TR-10, heading back pruning was 10 cm above the ground), three buds (TR-30), five buds (TR-50), seven buds (TR-70), and nine buds (TR-90) were left of scion. The number of buds on whip trunk was correlated to the central leader length and increment of trunk cross-sectional area, negatively, and to the tree height and canopy volume, positively. The yields in the TR-50 treatment were higher about 2 times than other treatments. The fruit diameter was not significantly different among the treatments. CONCLUSION: These results indicated that the optimum location of heading-back pruning in one year old 'Daeneung' jujube tree was 50 cm above the ground as evaluated by the balance of reproductive and vegetative growth.

Regulation of Phthalates and Their Alternatives in Children's Products and Their Toxicity Data (어린이제품 내 프탈레이트류 및 대체제의 규제와 독성자료에 대한 연구)

  • Lee, Inhyae;Ra, Jinsung;Ji, Kyunghee
    • Journal of Environmental Health Sciences
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    • v.47 no.1
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    • pp.1-19
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    • 2021
  • Objectives: Phthalates, which are widely used as plasticizers, have been recognized as endocrine disruptors. In the present study, we provided information on the regulation of these chemicals and summarized the information available on their detection and toxicity in children's products and those of their alternatives. Methods: The regulatory frameworks related to phthalates in children's products in Korea, the United States (US), and the European Union (EU) were compared. Data on the detection concentration of 16 phthalates and seven phthalate alternatives that could be used in polyvinyl chloride (PVC) plastic products for children as well as on their toxicity classification and endocrine disruption toxicity were collected from the literature. Results: Korea adopted US and EU chemical standards for six phthalates (DEHP, BBP, DBP, DINP, DIDP, and DNOP), but not others (e.g., DIBP, DPP, DHP, and DCHP). Among the ten phthalates and seven substitutes for which regulatory standards were not determined, DIBP, DHP, DEHA, DIBA, DINA, and DEHT were detected in children's products made from PVC plastic. DIBP and DHP, which have a reproductive toxicity classification of 1B, were frequently detected in PVC toys. The reproductive toxicity, estrogenicity, and anti-androgenic activity of the unregulated phthalates and their alternatives have been reported in diverse in vitro and in vivo assays. Conclusion: The use of unregulated phthalates and their substitutes in children's products is increasing. Further monitoring and toxicological information on phthalate alternatives is required to develop proper management plans.

Phenological growth stages of Korean ginseng (Panax ginseng) according to the extended BBCH scale

  • Kim, Yun-Soo;Park, Chol-Soo;Lee, Dong-Yun;Lee, Joon-Soo;Lee, Seung-Hwan;In, Jun-Gyo;Hong, Tae-Kyun
    • Journal of Ginseng Research
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    • v.45 no.4
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    • pp.527-534
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    • 2021
  • Background: Phenological studies are a prerequisite for accomplishing higher productivity and better crop quality in cultivated plants. However, there are no phenological studies on Panax ginseng that improve its production yield. This study aims to redefine the phenological growth stages of P. ginseng based on the existing Biologische Bundesanstalt, Bundessortenamt und Chemische Industrie (BBCH) scale and proposes a disease control reference. Methods: This study was conducted at the Korea Ginseng Corporation Experiment Station in Gyeonggi province, South Korea. Phenological observations were performed once weekly or twice monthly, based on the developmental stages. The existing BBCH scale with a three-digit code was used to redefine and update P. ginseng's phenological growth codes. Results: The phenological description is divided into eight principal growth stages: three for vegetative growth (perennating bud, aerial shoot, and root development), four for reproductive growth (reproductive organ development, flowering, fruit development, and fruit maturation), and one for senescence according to the extended BBCH scale. A total of 58 secondary growth stages were described within the eight principal growth stages. Under each secondary growth stage, four mesostages are also taken into account, which contains the distinct patterns of the phenological characteristics in ginseng varieties and the process of transplanting seedlings. A practical management program for disease control was also proposed by using the BBCH code and the phenological data proposed in this work. Conclusion: The study introduces an extended BBCH scale for the phenological research of P. ginseng.

Clinical profile and cytogenetic correlations in females with primary amenorrhea

  • Divya Chandel;Priyanka Sanghavi;Ramtej Verma
    • Clinical and Experimental Reproductive Medicine
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    • v.50 no.3
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    • pp.192-199
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    • 2023
  • Objective: This study was conducted to investigate chromosomal abnormalities and their correlations with clinical and radiological findings in females with primary amenorrhea (PA). Methods: Detailed forms were recorded for 470 females, including the construction of three-generation pedigrees. Peripheral venous blood was drawn, with informed consent, for cytogenetic analysis. Results: An abnormal karyotype was found in 16.38% of participants. The incidence of structural abnormalities (6.8%) exceeded that of numerical abnormalities (6.15%). Turner syndrome represented 45% of all numerical abnormalities. Furthermore, the Y chromosome was detected in 5% of females with PA. Among the structural chromosomal abnormalities detected (n=32) were mosaicism (25%), deletions (12.5%), isochromosomes (18.75%), fragile sites (3.12%), derivatives (3.12%), marker chromosomes (3.12%), and normal variants (29.125%). An examination of secondary sexual characteristics revealed that 29.6% of females had a complete absence of breast development, 29.78% lacked pubic hair, and 36.88% exhibited no axillary hair development. Radiological findings revealed that 51.22% of females had a hypoplastic uterus and 26.66% had a completely absent uterus. Abnormal ovarian development, such as the complete absence of both ovaries, absence of one ovary, one absent and other streak, or both streak ovaries, was observed in 69.47% of females with PA. Additionally 43.1%, 36.1%, 67.4%, and 8% of females had elevated levels of serum follicle-stimulating hormone, luteinizing hormone, thyroid-stimulating hormone, and prolactin, respectively. Conclusion: This study underscores the importance of karyotyping as a fundamental diagnostic tool for assessing PA. The cytogenetic correlation with these profiles will aid in genetic counseling and further management of the condition.

Effect of Majoon Idraare Haiz in Polycystic Ovarian Syndrome - A pilot study

  • Firdose, Kouser fathima;Begum, Wajeeha
    • CELLMED
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    • v.12 no.1
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    • pp.3.1-3.7
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    • 2022
  • Background & Objectives: Polycystic ovarian syndrome (PCOS) is one of the commonest endocrine abnormality in women of reproductive age affecting from 4% - 21% of the reproductive women and is characterized by chronic anovulation and hyperandrogenism. The aim of the study was to evaluate the effect of majoon idraare haiz in menstrual regulation and morphological changes in ovaries in poly cystic ovarian syndrome. Methods: A Pilot study was carried out in the department of Ilmul qabalat wa amraze niswan, National institute of unani medicine, hospital, Bengaluru. Fifteen Patients of PCOS aged 18-35 diagnosed using Rotterdam criteria were included in the study. Patients with insulin sensitizing treatment within 3 months, hormonal treatment and those with h/o diabetes mellitus, hypertension, pregnant and lactating women were excluded.Majoon idraare haiz was administered orally at a dose of 10 g with 20 ml arqbed mushk once daily from fifth day of cycle for 21 days for three consecutive cycles. Primary outcome measure was menstrual regularity while changes in USG pelvis(normal ovarian morphology) was considered as secondary outcome measure. In addition, duration of flow and changes in basal metabolic index (BMI), modified Ferriman Gallwey (mFG) score, acanthosis nigricanswere observed. Data were analyzed using, ANOVA, paired student 't' test, fisher exact test. Results: Changes in duration of cycle, duration and amount of flow was achieved in 93.3% patients with p<0.0001 and 46.6% patients showed normal findings on pelvic ultrasonography with p=0.006. In addition, significant changes were also observed in BMI, hirsutism and acanthosis nigricans with p value of 0.0001, p=0.003 and p=0.009 respectively Conclusion: Majoonidraare haiz can be used as an effective alternative in management of PCOS patients. It has significant effect on menstrual regulation and changes in polycystic ovarian morphology to normal.